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Data Elements
Data elements sent to NC DETECT from emergency departments, the Carolinas
Poison Center data and the Pre-hospital Medical Information System data
are detailed in three separate tables below.
Emergency Department Data
Data elements listed below are collected by NCHESS,
although Triage Note is currently an optional element and hospitals are
not required to send it.
Inclusion Criteria for NCHESS Case Reporting: Patients treated in the
participant ED regardless of their disposition and patients Triaged who
then leave AMA or without being seen. Also patients treated in the ED
and then admitted to the hospital should be included.
Exclusion Criteria for NCHESS Case Reporting: Patients triaged away to
a clinic or directly admitted to an inpatient unit.
| Table
1: Emergency Department Data Elements Sent to NC DETECT |
| DEEDS No. |
Name |
Description/Notes (data type) |
| 1.01 |
Patient ID |
Unique identifier generated by a one-way
hash algorithm (varchar) |
| 1.04 |
Date of Birth |
(date/time) |
| 1.05 |
Sex |
M, F, U (varchar) |
| 1.08 |
Address |
City, State, County, Zip only (varchar) |
| 1.10 |
Visit ID |
Unique identifier generated by a one-way hash algorithm
(varchar) |
| 2.01 |
ED Facility ID |
Location where patient sought care (varchar) |
| 3.01 |
Insurance Coverage or Other Expected Source of Payment |
Entity or person expected to be responsible for patient's
bill for this ED visit (numeric code) |
| 4.01 |
Date/Time First Documented in ED |
First date and time documented in patient's record for
this ED visit (date/time) |
| 4.02 |
Mode of Transport to ED |
Patient's mode of transport to ED (numeric code) |
| x.xx |
PreMIS Number |
If transported by EMS (varchar) |
| 4.06 |
Chief Complaint |
Patient's reason for seeking care or attention, expressed
in terms as close as possible to those used by patient of responsible
informant (varchar) |
| 4.06a |
Triage Note |
Supporting information for Chief Complaint (varchar) |
| 4.08 |
First ED Acuity Assessment |
First ED assessment of patient's acuity by practitioner
(numeric code) |
| 4.18 |
First ED SBP |
Systolic blood pressure (number) |
| 4.20 |
First ED DBP |
Diastolic blood pressure (number) |
| 4.26 |
First ED Temperature Reading |
(number) |
| 4.27 |
First ED Temperature Reading Route |
(number) |
| 5.04 |
Coded Cause of Injury |
Encoded description of injury event that
precipitated patient's ED visit; ICD-9 E code(s) |
| 6.02 |
ED Procedure (repeats) |
ICD9 codes and CPT codes for procedures |
| 8.02 |
ED Disposition |
Patient's anticipated location or status following ED
visit (numeric code) |
| 8.23 |
ED Disposition Diagnosis Description (repeats) |
Practitioner's description of condition or problem for
which services were provided during patient's ED visit, recorded at
time of disposition (varchar) |
| 8.24 |
ED Disposition Diagnosis Code(s) |
Code assigned to ED disposition diagnosis; ICD-9 code(s) |
Carolinas Poison Center (CPC) Data Elements
CPC data are sent to NC
DETECT every hour. We monitor all calls that have an associated clinical
effect. All calls with documented clinical effects are binned into larger
clinical effect groups which are monitored for suspicious patterns.
The American Association of Poison Control Centers publishes an Annual
Report for the National Poisoning and Exposure Database. This report
is based on data received from 61 poison control centers around the country,
including CPC.
| Table 2: CPC Data Elements Sent to NC DETECT |
| Data Element |
Data Type |
Length |
Description |
| Call Type |
Num |
8 |
Call type listed as exposure or information |
| Call Type Category |
Num |
8 |
Subcategories for information call types |
| Caller City |
Char |
100 |
City where call was made |
| Caller County |
Char |
100 |
County where call was made |
| Caller Location Code |
Char |
50 |
Zip code or area code/exchange of caller |
| Caller Site |
Num |
8 |
Location of caller at initial call |
| Caller Site Code |
Num |
8 |
Additional site information when caller site is a health care facility |
| Caller State |
Num |
8 |
State where initial call was made |
| Caller Zip |
Char |
10 |
Zip code where call was made |
| Case Number |
Num |
8 |
Unique number for patient |
| Chronicity |
Num |
8 |
Records exposure as acute or chronic |
| Clinical Effects |
|
|
9 categories of clinical effects (cardiovascular, dermal, gastrointestinal,
hematologic/hepatic, neurological, ocular, renal/genitourinary, respiratory,
and miscellaneous). Each clinical effect is recorded as no effect,
related, not related, or unknown if related |
| Duration of Effect |
Num |
8 |
Duration of clinical effects |
| Exposure Duration |
Num |
8 |
Duration of chronic exposures |
| Exposure Reason |
Num |
8 |
Type of exposure if call type was an exposure call |
| Exposure Site |
Num |
8 |
Location of the patient when the exposure occurred |
| Final Health Care Facility |
Num |
8 |
Type of health care facility for patients transferred from the initial
HCF to a second HCF |
| Follow up Number |
Num |
8 |
Number of follow-up contacts for each patient |
| Initial Health Care Facility |
Num |
8 |
Type of health care facility patient is in or referred to |
| Level of Health Care Facility Care |
Num |
8 |
Highest level of care received by the patient |
| Management Site |
Num |
8 |
Where the patient was managed |
| Medical Outcome |
Num |
8 |
Final outcome of patient after final follow-up |
| Number of Substances |
Num |
8 |
Total number of substances involved |
| Patient Age |
Num |
8 |
patient's estimated age |
| Patient Age Unit |
Num |
8 |
Code an age unit (months, days, years), an age range, or an unknown
age category |
| Patient AnimalType |
Num |
8 |
Animal type if patient is non-human |
| Patient Gender |
Num |
8 |
Patient gender |
| Patient Pregnancy Duration |
Char |
50 |
Number of weeks pregnant |
| Patient Species |
Num |
8 |
Human or animal patient |
| Patient State |
Num |
8 |
Patient’s state |
| Patient Weight |
Num |
8 |
Patient weight (pounds or kilograms) |
| Related Case Number |
Char |
50 |
Case number of primary case/call related to patient |
| Route Aspiration |
Num |
8 |
Yes/No for exposure through aspiration |
| Route Bite |
Num |
8 |
Yes/No for exposure through bite |
| Route Dermal |
Num |
8 |
Yes/No for exposure through dermal route |
| Route Ingestion |
Num |
8 |
Yes/No for exposure through ingestion |
| Route Inhalation |
Num |
8 |
Yes/No for exposure through inhalation |
| Route Ocular |
Num |
8 |
Yes/No for exposure through ocular route |
| Route Other |
Num |
8 |
Yes/No for exposure through another route |
| Route Otic |
Num |
8 |
Yes/No for exposure through otic route |
| Route Parenteral |
Num |
8 |
Yes/No for exposure through parenteral route |
| Route Rectal |
Num |
8 |
Yes/No for exposure through rectal route |
| Route Unknown |
Num |
8 |
Yes/No for exposure through unknown route |
| Route Vaginal |
Num |
8 |
Yes/No for exposure through vaginal route |
| Scenarios |
|
|
7 categories of possible exposure scenarios (dosing/therapeutic
error, vapor/fume problems, child-resistant closure on product, access
to product, confusion about product, pesticide problems, miscellaneous).
Up to four scenarios can be selected per case |
| Start Date |
Num |
8 |
Date and time of the initial call to the poison center |
| Substances |
|
|
Information on all substances involved in exposure |
| Therapies |
|
|
2 categories of therapy provided (decontamination or other). Each
therapy is recorded as not recommended, recommended, performed, recommended
and performed, or recommended, known not performed. |
| Therapy None |
Num |
8 |
Categories for why therapy was not provided |
| Year Code |
Num |
8 |
Year case was first reported to the center |
Pre-hospital Medical Information System (PreMIS) Data
Elements
NC DETECT downloads PreMIS data once every morning. We download the previous
30 days' worth of data each morning and store only those 30 days in NC
DETECT.
| Table 3: PreMIS Data Elements |
| Data Element |
Description / Notes |
| Agency county |
EMS Agency county |
| Agency name |
EMS Agency name |
| Agency number |
|
| Anatomic location |
Pick list:
Abdomen, Back, Chest, Extremity-Lower, Extremity-Upper, General/Global,
Genitalia, Head, Neck |
| Chief complaint |
Free-text narrative of the patient's chief complaint, as close as
possible
a quote from the patient. |
| Destination Name |
|
| Destination Type |
|
| Diastolic blood pressure |
|
| Dispatch complaint |
Abdominal Pain, Allergic Reaction, Animal Bites, Assault, Back Pain,
Breathing Problems, Burns, Carbon Monoxide/Inhalation, Cardiac/Respiratory
Arrest, Chest Pain, Choking, Convulsions/Seizure, Diabetic Problem,
DOA,
Drowning, Electrocution, Eye Problem, FALLS/Back Injury, FIRE, HAZARDOUS
MATERIAL, Headache, Heart Problems, Heat/Cold Exposure, Hemorrhage/Laceration,
Industrial/Machinery Accidents, Ingestion/Poisoning, LIFE LINE, OVERDOSE/POISONING,
Pregnancy/Childbirth, PSYCHIATRIC/SUICIDE, SEIZURES, Sick Person,
Stab/Gunshot Wound, STANDBY/SPECIAL EVENT, STROKE, SUBSTANCE ABUSE,
Traffic Accident, TRANSPORT, Traumatic Injuries, Unconscious, Unknown
Problem/Man Down, Transfer/Interfacility/Palliative Care, MCI |
| External incident number; PreMISNo or PCR number |
|
| Incident address |
|
| Incident city |
|
| Incident Disposition |
Treated, Refused, Dead. EMS calls with an incident disposition of
Cancelled, No Treatment Required, or No Patient Found are not sent
to NC DETECT. |
| Incident state |
|
| Incident zip code |
|
| Patient address city |
|
| Patient address state |
|
| Patient address zip code |
|
| Patient age |
|
| Patient age unit (Years, Months, Days, Hours) |
|
| Patient birth date |
|
| Patient gender |
|
| Primary symptom name |
Pick list: Bleeding, Breathing Problems, Change in Responsiveness,
Choking, Death, Device/Equipment Problem, Diarrhea, Drainage/Discharge,
Fever, HEADACHE, Malaise, Mass/Lesion, Mental/Psych, MENTAL STATUS
CHANGE, Nausea/Vomiting, NONE DETECTED, Pain, Palpitations, Rash/Itching,
Swelling, Transport Only, Weakness, Wound |
| Secondary complaint |
Free-text narrative of the patient's secondary complaint(s), as
close as
possible a quote from the patient. |
| Secondary symptom name |
See Primary Symptom Name |
| Systolic blood pressure |
|
| Timestamp for last record update |
|
| Unit notified timestamp |
|
| Vital Signs Temperature |
|
|
|
